EP2555803A1 - Process for preparing hyperpolarized substrates and method for mri - Google Patents
Process for preparing hyperpolarized substrates and method for mriInfo
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- EP2555803A1 EP2555803A1 EP11712872A EP11712872A EP2555803A1 EP 2555803 A1 EP2555803 A1 EP 2555803A1 EP 11712872 A EP11712872 A EP 11712872A EP 11712872 A EP11712872 A EP 11712872A EP 2555803 A1 EP2555803 A1 EP 2555803A1
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- European Patent Office
- Prior art keywords
- precursor
- ethyl ester
- hyperpolarized
- dnp
- process according
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K49/00—Preparations for testing in vivo
- A61K49/06—Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations
- A61K49/08—Nuclear magnetic resonance [NMR] contrast preparations; Magnetic resonance imaging [MRI] contrast preparations characterised by the carrier
- A61K49/10—Organic compounds
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
- A61B5/055—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves involving electronic [EMR] or nuclear [NMR] magnetic resonance, e.g. magnetic resonance imaging
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/007—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests for contrast media
Definitions
- the present invention generally relates to the field of Magnetic Resonance Imaging (MRI). More particularly, the invention relates to a process for the preparation of aqueous solutions of hyperpolarized molecules ready for use in in vivo M R diag nostic imagi ng, the use thereof as M RI contrast agent i n investigation methods for producing diagnostic MR images of a human or non- human animal body organ, region or tissue.
- MRI Magnetic Resonance Imaging
- MRI is a non invasive technique with broad diagnostic value.
- the technique has gained wide clinical acceptance and is of great importance in diag nostic medicine.
- applications of MRI are limited by an intrinsically low sensitivity.
- EP 1544634 discloses some of said alternative techniq ues, comprising among others, Dynamic Nuclear Polarisation (DNP), Para Hydrogen Induced
- PHI polarisation and Polarisation Transfer from a hyperpolarised noble gas.
- the use of a stable DNP hyperpolarised precursor which can readily be transformed into the desired hyperpolarized substrate upon dissolution in an aqueous carrier e.g. an anhydride or an ester precursor of a carboxylic acid
- an aqueous carrier e.g. an anhydride or an ester precursor of a carboxylic acid
- an aqueous carrier e.g. an anhydride or an ester precursor of a carboxylic acid
- a stable precursor which can readily be transformed into the desired hyperpolarized substrate upon dissolution in an aqueous carrier, such as an anhydride or an ester precursor of a carboxylic acid, is particularly conveniently.
- suitably selected precursors may be used to prepare two or more different hyperpolarized substrates there from, or a mixture of a hyperpolarized substrate with a hyperpolarized MR contrast agent or a hyperpolarized pH reporter.
- a first aspect of the invention relates to a process for preparing a hyperpolarized active substrate for use in a method of magnetic resonance investigation, which comprises the steps of:
- DNP dynamic nuclear polarisation
- the precursor is a compound which, upon contact with water is transformed, preferably by hydrolysis thereof, into the corresponding polarized active compound, preferably one or more carboxylic acid, either in undissociated ⁇ i.e. neutral) or dissociated ⁇ i.e. anionic) form.
- said precursor is selected from the group consisting of anhydrides, diketenes, esters, lactones and amides.
- esters precursors that upon hydrolysis give the corresponding hyperpolarised acid having a degree of polarisation higher than the degree of polarisation otherwise obtainable by directly hyperpolarising the acid itself.
- preferred esters are liq uids below 130° C, preferably below 100° C, most preferably below 35° C and forms glasses (non- crystalline solids) when rapidly frozen, e.g. when inserted into liquid nitrogen or liquid helium.
- aqueous carrier such as: ionised water, saline solution, optionally comprising an additive such as a buffer, an enzyme and the like.
- the transformation of the precursor into the active su bstrate accord i ng to the present i nvention is effected by hydrolysis in the presence of an enzyme.
- hydrolases (generally indicated with EC 3 or even EC 3.x.x.x) particularly preferred being esterases, acylases, lipases.
- the present invention relates to a method for operating an MRI system comprising the steps of:
- the present invention relates to a method for operating a MRI system comprising the steps of:
- the present invention provides an alternative method for the ex vivo hyperpola rizatio n of molecu les of biolog ica l i nterest, pa rticu la rly those molecules (metabolites) which are part of metabolic pathways such as, for instance, tricarboxylic acid (TCA) cycle (also known as citric acid cycle), glycolysis, beta-oxidation, urea cycle and ketobody metabolic pathways.
- TCA tricarboxylic acid
- glycolysis beta-oxidation
- urea cycle ketobody metabolic pathways.
- the invention relates to a process for the preparation of a hyperpolarized active substrate, said process comprising the steps of:
- DNP Dynamic Nuclear Polarisation
- hyperpolarized precursor comprises within its meaning any hyperpolarized molecule which, upon contact with an aqueous carrier, is transformed into at least one active substrate.
- the carrier is sterile and physiologically tolerable, such as sterile water, purified water such as water for injection (WFI), physiological saline solution, optionally properly buffered .
- the carrier may optionally comprise a suitable amount of a selected additive (e.g. a base or an acid), capable of promoting the rapid and selective conversion of the hyperpolarized precursor into a water soluble active substrate.
- the additives when present, are physiologically acceptable ones, and are employed in relatively low amounts, e.g. comprised from 0.1 mole equivalents to 10 mole equivalents, preferably from 1 mole equivalent to 4 mole equivalent (where mole equivalents means amount of additive relative to the amount of hyperpolarized precursor), in order to provide physiologically acceptable solutions ready for injection.
- the obtained aqueous solution comprising the hyperpolarized active substrate
- the p H of t h e so l u t i o n m a y s u bseq u e n t ly be a dj u sted at physiologically acceptable values by adding suitable acid or basic buffers thereto, before administration thereof.
- suitable additives are pH regulating agents such as organic or inorganic bases (e.g. alkaline metal bases) or organic or inorganic acids or buffers.
- the transformation of the precursor into the active substrate is effected by hydrolysis.
- hydrolysis comprises a chemical reaction in which water reacts with a starting compound to produce one or more resulting compound(s); it typically involves the splitting of a bond on the starting compound and the addition of a hydrogen cation and/or of a hydroxide anion to the structure of the starting compound, to obtain the resulting compound(s).
- the selected aqueous carrier can contain as additive either a suitable amount of alkaline base such as hydroxides or carbonate, like NaOH or NaHC0 3 , or Na 2 C0 3 , as well as other organic or inorganic compounds with basic aqueous reaction (e.g.
- trimethylol aminomethane also known as trimethylol aminomethane, also known as tromethamine, or trisodium phosphate
- an inorganic or organic acid capable of promoting the hydrolysis of a hyperpolarized precursor such as, among others, phosphoric acid, hydrochloric acid, citric acid or acetic acid.
- Particularly preferred additives for the method of the instant invention are sodium hydroxide (NaOH), and hydrochloric acid (HCI).
- an aqueous solution of the hyperpolarized precursor in a 10-100 mM concentration is hydrolyzed in the presence of 10-400 mM NaOH.
- the hydrolysis of the hyperpolarised precursor practically occurs by adding the same to a carrier selected as formerly described, at a temperature from about 20° C to 100° C, preferably from 40° C to 70° C, to obtain an aqueous solution containing the desired hyperpolarised active product or mixture of products, basically depending on the chemical nature of the precursor.
- hyperpolarized active substrate (also referred to as “substrate” in the following of this specification) comprises within its meaning high Tl compounds containing nonzero nuclear spin nuclei capable of exhibiting a long Tl relaxation time. Long Tl relaxation times are to be intended as time values sufficiently long to allow an effective detection of the signal.
- the expression "quantitative transformation” is intended to indicate a transformation (preferably a hydrolysis) in the amount of 20% or more, preferably 50% or more, more preferably 75% or more and even m o re p refe ra b ly of at l east 90%, particularly preferred being a transformation of at least 95% of the precursor into the active substrate.
- the precursors co m p rise those co m po u nd s wh ich u po n hyd ro lysis reactio n prov id e a corresponding carboxylic acid (in a non-dissociated or dissociated form), alone or in admixture with one or more side reaction product, the latter preferably being pharmaceutical acceptable.
- the precursor compound is enriched with non-zero nuclear spin nuclei, such as 13C, 19F and/or 15N nuclei, preferably 13C.
- the term "enriched" means that the concentration of the non-zero spin nuclei in the com pound is above the typical value of natural abundance of sa id n uclei, preferably above at least 10% of natural abundance, more preferably above at least 25%, and even more preferably above at least 75% of its natural abundance and most preferably above at least 90% of its natural abundance.
- the enrichment will in particular be concentrated on an atom position, for which a chemical transformation of the molecule, or a chemical or magnetic changes of the environment of the molecule, will be measurable as a change of its chemical shift.
- Said non-zero nuclei confer to the substrate a Tl relaxation time of at least 5 seconds (indicated with s), prefera bly of at least 10 s, prefera bly of at least 20 s, prefera b ly of at least 30 s, a nd even more preferably of at least 40 s, measu red in a solution subjected to a magnetic fields of from about 0.5 mT to about 20 T (Tesla).
- the enrichment may include either selective enrichments of one or more sites within the molecule or uniform enrichment of all sites.
- the active substrates will correspondingly be enriched with respective non-zero nuclear spin nuclei, such as 13C, 19F and/or 15N nuclei, preferably 13C.
- the final hyperpolarized active substrate shall maintain its polarization for a sufficiently long period of time, in order to allow the imaging procedure to be carried out within a relatively comfortable frame of time.
- the Tl value of the hyperpolarized precursor and of the hydrolyzed substrate shall thus be of at l ea st 5 seconds or higher, preferably of 10 s seconds or higher, more preferably at least 30 s seconds and even more preferably of 50 s seconds or higher.
- Particularly preferred are those substrates for which the Tl value is of 70 s seconds or higher, and even more particularly preferred are those having a Tl value of 100 s seconds or higher.
- Tl values are referred to values measured typical ly at a field strength of from 0. 5 mT to 20 T and at a temperature of from 25° C to 70 °C, in particular at a field strength of 1.5-3 T and at a temperature of 37° C.
- said Tl values are generally measured at a field strength of 0.5 mT and at a temperature of 60° C.
- the above mentioned non-zero spin nuclei can be directly linked to one or more Deuterium atom, typically with the intention to prolong the Tl values of the final hyperpolarized compound (see in this direction, US 2008/0287774 Al, herein included by reference).
- ma ny more metabolites can advantageously be distinguished from their substrates on the basis of the larger chemical shift dispersion thus available, and, even more advantageously, the Deuteration of hyperpolarized non-zero nuclear spins can expand the group of possible non-zero nuclear spins useful for the imag ing of final hyperpolarized com pou nds and their metabolites. Deuteration is in fact particularly useful for instance in those cases where the chem ical shifts of the substrate and the chemical shifts of the metabolites thereof are very similar to each other, or even too close one to each other to be otherwise d istinguished or detected .
- the active substrates obta i ned from the corresponding hyperpolarized precursors are in particular capable of exhibiting a change in chemical shift in response of a change of physiological conditions (e.g. changes in the pH, p0 2 , pC0 2 , redox potential, temperature or ionic concentrations in the vascular system) or a consequence of metabolic activities, such as cellular uptake, cytosolic reactions such as transaminase reactions (comprising amino acids e.g. aspartate and keto acids e.g. oxaloacetate) and glycolysis (comprising carbohydrates e.g.
- a change of physiological conditions e.g. changes in the pH, p0 2 , pC0 2 , redox potential, temperature or ionic concentrations in the vascular system
- metabolic activities such as cellular uptake, cytosolic reactions such as transaminase reactions (comprising amino acids e.g. aspartate and keto acids e
- mitochondrial reactions such as TCA cycle reactions (comprising molecules which are hydrated e.g cis-acontate), redox reactions (comprising ketobodies e.g. acetoacetate) or betaoxidations (comprising short and medium chain fatty acids e.g. butyrate).
- Preferred active substrates will for instance exhibit a chemical shift difference of more than 1.5 ppm for quaternary carbon, 2.1 ppm for deuterate methine, 4.2 ppm for deuterated methylene, and 5.4 ppm for deuterated methyl groups, at a filed of 3T. While the process of the invention is suitable for prepari ng any such molecules, it is pa rticu la rly advantageous for the preparation of hyperpolarized molecules for which the direct ex-vivo hyperpolarization thereof may pose some problems, or it is obtained with a low degree or it is even too difficult to be realised. In fact, while many molecules (e.g.
- carboxylic acids are not able of forming a glass in their pure form, so that it is necessary to admix the substrate with a glass-forming additive, their precursors according to the present invention, e.g. anhydrides or esters, preferably ethyl ester, are indeed able of forming said required neat g lass, without the need of any further glass-forming additive.
- the active substrate such as carboxylic acid or carboxylate
- the active substrate may also pose some sta bi l ity issues such as isomerisation or chemical decomposition.
- the use of a precursor which does not pose stability issues, and which can readily be transformed into the desired hyperpolarized substrate upon dissolution in an aqueous carrier e.g. an anhydride precursor or an ester precursor of a carboxylic acid
- the process of the present invention is also very convenient where hyperpolarised precursors, such as an ester precursor of a carboxylic acid, are characterised in having advantageous properties, compared to their corresponding active substrates (e.g. glass forming properties leading to a higher degree of hyperpolarization), thereby their hydrolysis lead to the corresponding active substrate having a higher degree of polarisation (typically increased by a factor of 1.5 to 4), with respect to the degree otherwise obtainable by directly hyperpolarising the active substrate itself.
- hyperpolarised precursors such as an ester precursor of a carboxylic acid
- preferred precursors, together with the hydrolysis products thereof comprise, for instance, the following derivatives, and respective hydrolyzed substrates thereof: la) wherein Hal is an halogen atom (F, CI, Br, I) and R is a C1-C6 alkyl or alkene, cycloalkyi or cycloalkene, arylalkyi or heteroarylalkyi radical, optionally branched and/or substituted with one or more additional functional groups such as -OH, COOH, -NH 2 , -NHCH 3 , -N(CH 3 ) 2 , SH, SCH 3 ; or R is a carbonyl group of formula -CO-Z, wherein Z is: hydrogen, -OH, optionally substituted C1-C6 alkyl, C1-C6 alkoxy, aryl or benzyl group; lb)
- R is as defined in point la
- R' is an optionally substituted alkyl, aryl, cycloalkyi, aryl radical (or any of its combination) which by hydrolysis leads to the release of RCOOH and R'COOH, being R'COOH either the same as RCOOH (symmetric anhydrides) or is a different physiologically acceptable carboxylic acid (mixed anhydrides); in this latter case, it can be a different active substrate, a pharmaceutically active compound or simply a non-toxic substance (where "non-toxic substance" as herein defined identifies compounds with an LD50 >0.1 mmol/Kg). lc)
- R is as defined in point la), and R' is defined as in point lb) or hydrogen;
- R is as defined in point la
- R' and R" are each independently hydrogen or corresponding to the R group as defined in point la) or substituents leading to faster hydrolysis, for instance azoles, such as:
- R is as defined in point la), and R' and R" are suitable acyl groups suc
- P hydrogen or amino protecting group
- P' hydrogen or hydroxy protecting group
- R is defined as in point la
- R', R" are independently defined as R or hydrogen
- R is defined as in point la) and R' as defined under lb).
- R is defined as in point la) and R' is independently defined as R or hydrogen.
- each R and each R' are respectively independently defined as in point 4).
- each R is independently defined as in point la).
- each R is independently defined as in point la) and A and B are defined as in point 1) iv).
- R and R' are chosen as to correspond to naturally occurring hydroxyacids of formula HO-CRR'-COOH .
- Charged complexes are preferably salified with polyhydroxyamines or polyhydroxyacids.
- ketoacids Metal chelates of ketoacids, the latter either in their deprotonated ketoacid form or in their deprotonated enol form, of general formula :
- Charged complexes are preferably salified with polyhydroxyamines or polyhydroxyacids.
- Such precursors include, but are not limited to, organic cyclic or linear anhydrides either symmetric or mixed, such as butyric anhydride, butyric-acetic anhydride, succinic anhydride or cis- aconitic anhydride; cyclic or acyclic diketenes, such as 4-methylideneoxetan-2- one; ester derivatives either cyclic ⁇ i.e. lactones) or linear, such as acetoacetate derivatives, e.g.
- ethyl acetoacetate ethylsuccinate (mono or di- ester), ethylpyroglutamate, dimethylglycine ethyl ester, ethyl 2- oxothiazolidine-4-carboxylate, 2-oxoglutarate ethyl ester (mono or di-ester), ethylmalate (mono or di-ester); amides such as N-acetyl aminoacids (e.g. N- acetylglutamine or N-acetylglycine).
- the precursor is selected from:
- said precursors are 13C labeled and optionally deuterated, whereas preferred ones are selected from : l , l'-13C-2-butyric anhydride, l-13C-butyric-acetic anhydride, 6-13C-cis-aconitic anhydride, 4- methylideneoxetan-2-13C-one, l-13C-ethyl acetotacetate, l,3-13C-2-ethyl acetotacetate, l,4-13C-2-succinate-(l)-ethyl ester, l-13C-ethylpyroglutamate, 2-13C-d2-d i methylg lyci ne ethyl ester, l-13C-ethyl 2-oxothiazolidine-4- carboxylate, l-13C-2-oxoglutarate-(l)-ethyl ester, l,4-13C-2-ethylmal
- preferred substrates include, carboxylic acids, including mono-, d i- and tri-carboxylic acids both in their dissociated (preferably) or und issociated form, optionally co nta i n i ng o n e o r m o re of the fo l lowi ng moieties: hydroxyl (hydroxy acids), carboxy (ketoacids) or amino (amino acids).
- suitable carboxylic acids substrates include:
- R-COOH where R represents Ci-Cio alkyl, Ci-Cio oxo-alkyl, Ci-Cio hydroxy-alkyl, Ci-Ci 0 amino-alkyl, Ci-Ci 0 alkene,
- R-(COOH)2 where R represents Ci-Cio alkyl, Ci-Cio oxo-alkyl, Ci-Cio hydroxy-alkyl, Ci-Cio amino-alkyl, Ci-Cio alkene, and where the carboxylic groups are bound to two different carbon atoms of R;
- R-(COOH)3 where R represents Ci-Cio alkyl, Ci-Cio oxo-alkyl, Ci-Cio hydroxy-alkyl, Ci-Ci 0 amino-alkyl, Ci-Ci 0 alkene, and where the carboxylic groups are bound to three different carbon atoms of R.
- high Tl hyperpolarized carboxylic acid substrates include, for instance, butyrate, acetoacetate, cis- aconitate, 2-o xo b u ty rate , 2-hydroxybutyrate, (R)-3-hydroxybutyrate, crotonate, succinate, oxaloacetate, malate, fumarate, citrate, isocitrate.
- preferred hyperpolarized substrate/precursor systems are selected from : acetoacetate/acetoacetate ethyl ester, butyrate/butyric an hydride, glycine/N-acetyl glycine, succinate/succinic-(l)-ethyl ester, phenylalanine/ phenylalanine ethyl ester, glutamine/N-acetyl gl utami ne, 2-oxoglutarate/2- oxoglutaric-(l)- ethyl ester, malate/malic-(l)- ethyl ester, pyroglutamate / pyroglutamate ethyl ester, 2-oxothiazolidine-4-carboxylate/ 2-oxothiazolidine- 4-carboxylate ethyl ester and dimethylglycine/dimethylglycine ethyl ester.
- the above acetoacetate, glycine, glutamine and dimethyl glycine substrates are obtained from the indicated precursors by enzymatic hyd rolysis, as described herei n below, accord ing to a fu rther embodiment of the invention.
- butyric acid is a metabolite in the fatty acid metabolic pathways.
- O ne of the primary products of butyric acid metabolism is butanoyl-CoA formed in a reaction, which is catalyzed by acyl-CoA synthetase (EC 6.2.1.2).
- Butanoyl-CoA can either be converted to crotonoyl-CoA and enter the beta- oxidation pathway end ing up in two molecules of acetyl-CoA, or it ca n be converted to its carnitine ester butanoyl carnitine, according to the following scheme.
- Acetyl CoA Butyric acid however crystallizes upon rapid freezing, also in the presence of relevant amounts of radical. Hence, it is necessary to add a certain amount of a glass-forming agent (e.g. glycerol or DMSO) to the DNP-preparation of the butyric acid. While this may not be a substantial drawback per se, the fact of admixing butyric acid with a glass forming agent reduces the final concentration of the acid in the DNP-preparation. On the contrary, butyric anhydride forms a glass upon rapid freezing without addition of any glass- forming agents. Furthermore, upon dissolution in an aqueous solution at basic pH (e.g.
- the hydrolysis of the anhydride DNP-sample proceeds rapidly. While the concentration of the anhydride in the hyperpolarized sample is more or less the same as the concentration of the acid in the glass-forming mixture, the subsequent hydrolysis of an anhydride's molecule provides twice the amount of butyric acid molecules, thus allowing to obtain an almost double concentration of butyric acid. Similarly, also mixed butyric-acetic anhydride forms a glass upon rapid freezing without addition of any glass-forming agents. Also in this case, hydrolysis of the hyperpolarized precursor proceeds rapidly upon contacting the precursor with an aqueous solution with one molar equivalent of NaOH. In this latter case, it can be appreciated that the hydrolysis of the mixed anhydride provides a similar amount of an additional hyperpolarized substrate, in addition to butyric acid.
- a base such as NaOH
- acetoacetate is prepared.
- Acetoacetate is a metabolite in the ketone body metabolic pathway.
- acetoacetate CoA-transferase EC 2.8.3.5
- acetoacetyl-CoA Another reaction of acetoacetate is a reaction catalyzed by the enzyme acetoacetate CoA-transferase (EC 2.8.3.5) to form acetoacetyl-CoA, according to the following scheme:
- Acetoacetic acid, and its salt acetoacetate is however difficult to directly hyperpolarize, in view of its inherent instability. In particular, being a ⁇ - ketoacid this molecule is prone to decarboxylation even with mild heating. The preparation and dissolution steps in the DNP-process results therefore in decomposition of this compound.
- diketene (4-methylideneoxetan-2-one) is employed as precursor of acetoacetate. Diketene can form a glass upon rapid freezing in the presence of small amounts of glass-forming agent (e.g. 2:1 ratio).
- glass-forming agent e.g. 2:1 ratio
- a precursor of cis-aconitate is prepared.
- Cis-aconitate is a metabolite in the TCA cycle.
- Cis-aconitate forms citrate and isocitrate in reactions catalyzed by aconitase (EC 4.2.1.3). Even though this enzyme catalyses both the conversion between cis-aconitate and citrate and between cis-aconitate and isocitrate the equilibrium is displaced towards citrate, according to the followin reaction scheme:
- c/s-aconitate for DNP requires, however, dissolution in substantial amounts of a glass-forming agent, e.g. DMSO, resulting in a rather low final concentration (2-3 M) of the substrate.
- a glass-forming agent e.g. DMSO
- the thermodynamically stable form is trans-aeon itate (an inhibitor of aconitase) and in solution the c/ ' s-form is slowly converted to the trans-form, e.g. during the preparation of the DNP-sample.
- rapid freezing of the cis- aconitate anhydride from its melting temperature of about 75-80° C
- i n N 2 produces a glass form.
- the required cis- isomer is maintained in the entire DNP-process and in the dissolution of the anhydride in water.
- the hydrolysis of hyperpolarized cis- aconitic anhydride proceeds rapidly to form the desired hyperpolarized c/ ' s- aconitate.
- esters precursors that upon hydrolysis lead to the corresponding acid showing a degree of polarization higher than the degree of polarization otherwise obtainable by hyperpolarizing the acid itself.
- examples of such esters are those compounds that are liquids below 130° C, preferably below 100° C, most preferably below 35° C and forms glasses (non-crystalline solids) when rapidly frozen, e.g. when inserted into liquid nitrogen or liquid helium.
- esters are added to an aqueous carrier, according to the present invention, to achieve the corresponding active substrate derivative, preferably by hydrolysis, having a deg ree of polarization facto r of at l ea st 1 .2 times higher than the one obtainable by direct hyperpolarization of the substrate, preferably at least 1.5 and up to e.g. 4 times higher than that obtainable by directly hyperpolarizing the active substrate itself.
- examples of preferred ester precursor are selected from : ita co n ate , py rog l uta m ate, 2-oxothiazolidine-4-carboxylate, and dimethylglycine, as illustrated in the experimental part herein below.
- the above esters precursor are hydrolyzed under basic conditions ⁇ i.e. at a pH >7), in the presence of an inorganic alkaline base such as NaOH or an organ ic base such as trimethylol aminomethane, also known as tromethamine, optionally in the presence of a catalytic enzyme, such as for instance a carboxylesterase.
- an inorganic alkaline base such as NaOH or an organ ic base such as trimethylol aminomethane, also known as tromethamine
- a catalytic enzyme such as for instance a carboxylesterase.
- the tra nsformation of the precursor i nto an active su bstrate ca n also be effected by enzymatic hydrolysis.
- enzymatic hyd rolysis com prises a n enzymatic reactio n i n wh ich the speed of the hydrolysis reaction is accelerated and/or the conversion yield of the hydrolysis reaction is increased, for instance with an increase in the conversion yield of at least twice, preferably at least 10 times with respect to the non-enzymatic hydrolysis, resulting in a quantitative (e.g.
- the hyperpolarized precursor is contacted with an aqueous ca rrie r as prev io usly me ntio ned , i n the p rese nce of a n enzym e, at a temperature sufficiently high to melt the hyperpolarized sample and to bring it at a physiological temperature (e.g. about 35-40° C).
- the precu rsor is transformed , typica lly by enzymatic hyd rolysis thereof, into the desired hyperpolarized active substrate(s) and the obtained solution, optionally after removal of the polarizing agent and/or other byproducts of the precursor's transformation, is administered to the patient, as required.
- the selected precursor can be suitably enzymatically hydrolyzed to at least 50%, preferably at least 75%, even more preferably up to more than 95%.
- the amount of the enzyme can vary depending on the specific activity of the particular enzyme, whereas typical amounts are from about 50 U to 30 KU, preferably from 60 U to 300 U, even more preferably from 90 to 270 U/mg enzyme; said amounts added to achieve hydrolysis generally within 2 minutes or even faster, e.g. within 10 seconds.
- the enzymes are physiologically acceptable in the relatively low amounts used in the invention. In some cases, e.g. when the amount of additive added to promote the transformation of the precursor is relatively high, the enzyme in the aqueous solution (comprising the hyperpolarized active substrate) may subsequently be removed, e.g.
- employable enzymes can be selected among those enzymes that perform the hydrolysis of the hyperpolarized precursor within the concentrations (expressed for instance in mM) and on the time-scale of the method (expressed in minutes), and which can be found in the class of enzymes called hydrolases (generally indicated with EC 3, or even with EC 3.x.x.x).
- said enzyme is selected from the g roup consisting of: esterases, acylases and lipases; whereas, the precursor may be suitably selected among those substrates that produce biological acceptable hydrolysis products.
- preferred substrates are selected from the group consisting of: ethyl esters and N-acylated derivatives of biological active substrates, where particularly preferred are N-acetylated amino acids such as N-acetyl glutamine (which is accord ingly enzymatically hydrolyzed to glutamine and acetate) , N-acetyl glycine (enzymatically hydrolyzed to glycine and acetate), ethyl esters such as ethyl acetoacetate (wh ich is accord i ng ly enzymatica l ly hyd rolyzed to acetoacetate and ethanol), optionally in deuter
- the enzymatic hydrolysis can be properly carried out by analogy to the hydrolysis reaction as previously described in the present invention in the absence of the enzyme, e.g. under acid (pH below 7), basic (pH higher than 7) or neutral conditions (pH 7), within the same preferred aqueous carriers as described above.
- the enzymatic hyd rolysis is carried out in buffered aqueous solution at the optimum pH and temperature for the enzyme. Therefore, in a particular preferred embodiment, the present invention relates to a process for the preparation of hyperpolarised active substrate, comprising the enzymatic hydrolysis of a DNP hyperpolarised precursor selected from ethyl acetoacetate and N-acetyl glutamine or N-acetyl glycine in trimethylol aminomethane, also known as trometham i ne, buffer or phosphate buffer to affo rd the fi na l metabolic contrast agent of choice, wherein said hydrolysis is carried out in the presence of carboxylesterase (EC 3.1.1.1.
- a DNP hyperpolarised precursor selected from ethyl acetoacetate and N-acetyl glutamine or N-acetyl glycine in trimethylol aminomethane, also known as trometham i ne, buffer or phosphat
- the enzymatic hydrolysis of a selected hyperpolarized precursor is carried out as follow:
- a hyperpolarized precursor was hyperpolarized and dissolved in a proper medium, following procedures described in the art.
- the thus obtained solution containi ng the hyperpolarized precursor was optim ized for the enzymatic hydrolysis (buffer type, pH and temperature), as previously described.
- the solution containing the hyperpolarized precursor was mixed with an enzyme solution or immobilized enzyme containing the desired enzymatic activity and, after completed hydrolysis, the enzyme was optionally removed from the reaction medium.
- the hyperpolarized precursor is obtained by Dynamic Nuclear Polarisation (DNP) methods, preferably in the presence of a polarizing agent, as described, for instance, in WO-A-99/35508.
- DNP Dynamic Nuclear Polarisation
- a polarizing agent as described, for instance, in WO-A-99/35508.
- trityl radicals as polarizing agents is preferred, such as, for instance those described in WO-A- 99/35508, WO-A-88/10419, WO-A-90/00904, WO-A-91/12024, WO-A- 93/02711 or WO-A-96/39367 and herein included by reference.
- the process comprises in general terms the steps of:
- An efficient DNP process is best obtained at high magnetic field (3-8 T) and low temperatures (0.5-4° K), typically obtaining a level of polarization of at least 1%, preferably of at least 5% and even more preferably of at least
- Na is the number of spins in nuclear spin state a
- ⁇ is the number of spins in nuclear spin state ⁇ .
- the polarizing agent needs to be stable and soluble in the preparation of the hig h Tl precursor and in an optional adm ixed glass former in order to obtain a homogenous distribution and an optimal concentration of the electron spin relative to the nuclear spin.
- the polarizing agent is added in an amount of from 5 m M to 50 mM to the mixture undergoing DNP, more preferably from 8 to 18 mM.
- a rad ical of the followi ng general formula (I) can advantageously be employed :
- R the same or different, represents a straight chain or branched Cl-
- C6-alkyl g roup optionally substituted by one or more hydroxyl group, methoxy group, or a group of formula -(CH 2 ) n -0-R2, wherein n is 1, 2 or 3;
- R2 is a stra ig ht cha i n or branched Cl-C6-alkyl g roup, optionally substituted by one or more hydroxyl groups or methoxy groups;
- X is independently selected from :
- an alkaline metal e.g. Na, K, Cs,
- said radical is a compound of the above formula (I) which is soluble in organic liquid precursors to make at least 5 mM solutions e.g. a compound of formula (I), wherein X is hydrogen, or wherein X is selected from hydrophobic moieties such as methyl, ethyl, ter-butyl or phenyl. Also preferred are said radicals, which are insoluble in water, e.g. a compound of formula (I), wherein both X and R are hydrophobic moieties.
- the preferred radical is (tris(8-carboxy-2,2,6,6- (tetra(hydroxyethyl)-benzo-[l,2-4,5']-bis-(l,3)-dithiole-4-yl)-m ethyl sod i u m s a l t o r tris(8-carboxyl-2,2,6,6-tetramethyl-benzo(l,2-d :4,5- dS)bis(l,3)dithiole-4-yl)methyl sodium salt.
- paramagnetic metal ions may be added to the DNP preparation to increase polarisation levels in the compound to be polarised. Examples of suitable paramagnetic metal ions are disclosed for instance in WO-2007/064226 here incorporated by reference.
- the paramagnetic metal ion is a paramagnetic chelate comprising Gd 3+ ions in concentrations from 0.3-4 m M with respect to the metal ion concentration.
- the thus hyperpolarized solid sample is transferred into the l iquid state.
- Th is is typically done by dissolving the sample in an appropriate solvent, or solvent mixture, using suitable devices, as described for instance in WO-02/37132.
- the removal of the trity l ra d i ca l a n d of th e o pti o n a l pa ra m a g n eti c m eta l io n m th e hyperpolarized liquid sample is preferred.
- hyperpolarized compounds obtained from respective precursors as illustrated above may be monitored using MR spectroscopy or MRI techniques.
- the analysis can be performed according to common procedures, such as continuous monitoring or single discrete measurements of a series of discrete measurements carried out at suitable intervals of time.
- the present invention relates to a method of magnetic resonance imaging of a sample, preferably a human or non-human animal body, said method comprising the steps of:
- said polarizing agent is prefera bly total ly or partia lly separated from the active substrate before administration thereof.
- suitable precursors are selected from those hyperpolarized substances which, upon contact with an aqueous carrier are transformed into at least one active substrate, preferably by hydrolysis, as formerly indicated .
- said precu rsors can be, among others, anhyd rides, mixed anhyd rides, esters, d i ketenes and the l ike.
- the active substrate is generally present in solution, and the pH of the solution may be adjusted at physiologically acceptable values by adding suitable acid or basic buffers thereto, before administration thereof. The precise concentration will of course depend upon a range of factors such as, inter alia, toxicity and administration route.
- optimal concentrations will in most cases lie in the range from 10 mM to 150 mM, particularly from 40 to 80 mM. In any case, the dosage of the solution should be kept as low as possible whilst still provid ing a detectable contrast response.
- the dosage of the M R i mag i ng substrate employed according to the present method will vary depending on, for instance, the nature of the MR imaging agents used, the tissue or organ of interest and the measuring apparatus.
- the hyperpolarized hydrolysed substrate can be administered into the vascular system or directly into an organ or muscle tissue, or by subdermal or subcutaneous route, as the case may be. Then, accord ing to the present method, the sample is exposed to a uniform magnetic field (also known as "primary magnetic field") with radiation of a frequency selected to excite nuclear sp i n tra ns iti o ns i n sa i d hype rpo la rised active substrate.
- the hyperpolarization of the precursor and, consequently, of the active substrate thereof results in an increasing in the population d ifference between the excited and ground nuclear spin states of those nuclei which are responsible for the magnetic resonance signals.
- MR signal intensity is proportional to this population difference, the final detected MR signals result in larger amplitude signals.
- the amplitude of the induced MR signals is also dependent upon several other factors, such as the strength of the magnetic field, the temperature of the sample, the isotopic nature and chemical environment of the imaging nuclei and the like.
- the chosen procedures for detecting MR signals are those commonly known in conventional MR scanning, such as, multinuclei scanner detection, fast single shot imaging sequences, EPI, RARE and the like.
- the MR signals obtained in the method of the present invention may be conveniently converted into 2- or 3-dimensional image data, into functional, flow or perfusion data, as well as into physiological or metabolic data (e.g. pH, pC02, temperature or ionic concentrations), by means of conventional manipulations.
- the metabolic conversion of the substrate may allow to study metabolic processes in the patient's body and/or provide information on metabolic state of a (healthy or pathological) tissue.
- the present method should be carried out within the frame of time in which the hyperpolarised active substrate remains significantly polarised, shortly after being subjected to the chemical conversion (e.g. hydrolysis) of the precursor. Therefore, the administration of such active substrate and the subsequent MR measurement are preferably effected as rapid as feasible.
- the sample either human or non-human animal body, should be available close to the area in which the polarisation takes place.
- the physical features of the solution to be administered (such as the temperature, density and the like) have to be physiologically tolerable in order to reduce the risks associated with the selected route of administration.
- the method of the present invention may find clinical application in a variety of imaging investigations such as, but not limited to, the vascular/angiographic imaging, interventional applications, perfusion mapping or metabolic/molecular imaging.
- Example la DNP preparation of butyric acid in the presence of a trityl radical as DNP agent
- Butyric acid (11.7 mg, 0.13 mmol) was placed into an Eppendorf tube and mixed with 9.0 mg of a glycerol solution containing 39 mM of Radical 1. This preparation was 7 M with respect to butyric acid . The preparation formed a glass upon rapid freezing in liquid nitrogen.
- Butyric anhydride (40 ⁇ , 0.24 mmol) was added to an Eppendorf tube and m ixed with 1 m g of Radical 3 i n a total concentration of 15 mM. This preparation was 6.5 M with respect to butyric anhydride (which, upon hydrolysis provides a 13 M concentration i n butyric acid molecules) . This anhydride formed a glass upon rapid freezing without addition of glass-forming agents. In comparison to example la it was possible to make a preparation of butyric a n hyd rid e witho ut add ition of g lass fo rm i ng agent a nd with a concentration of butyric acid which is twice the concentration of preparation la.
- Butyric acetic anhydride (36 ⁇ , 0.28 mmol) was added to an Eppendorf tube and mixed with 0.85 mg of acid form of Radical 3 in a total concentration of 15 mM. This preparation was 7.5 M with respect to butyric acetic acid. This mixed anhydride formed a glass upon rapid freezing without addition of glass- formi ng agents. In compa rison to example la it was possi ble to ma ke a prepa ration of butyric acetic an hyd ride without add ition of g lass former agents: furthermore, a second active metabolic contrast agent (acetic acid) is obtained.
- acetic acid active metabolic contrast agent
- Example I DNP preparation of butyric ethylcarbonic anhydride in the presence of a trityl radical as DNP agent (prophetic)
- Butyric ethylcarbonic anhydride is liquid at room temperature and forms a glass upon rapid freezing according to the proceed ure of example l b, in the absence of a g lass form i ng add itive .
- hydrolysis of this precursor further provides a pH marker (H 2 C0 3 ) and a MR contrast agent (ethanol).
- composition from example lb 25 mg, 0.16 mmol was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz).
- the sample was hyperpolarized for 75 min.
- the sample was dissolved in 4 ml water with added NaOH (50 ⁇ of 12M solution). The pH of the dissolved sample was 12. The solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet where a time series of 5 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 1 s.
- the anhydride was quantitatively hydrolyzed (up to at least 95 %) after 10 s.
- the butyric anhydride polarized well and was easily hydrolyzed to butyrate during the time of the experiment.
- composition from example lc (33 mg, 0.25 mmol) was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T mag netic field under i rrad iation with m icrowave (93.915 GHz).
- the sample was hyperpolarized for 90 min.
- the sample was dissolved in 5 ml water with added NaOH (125 ⁇ of 12M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 pH 12.8 and 50° C) T magnet where a time series of 5 degree ID 13C- NMR spectra were recorded with a total delay between the pulses of 1 s.
- the butyric acetic anhyd ride was quantitatively hydrolyzed up to at least 95 %, after 10 s .
- the b utyric acetic a n hyd ride polarized wel l a nd was easi ly hydrolyzed to butyrate during the time of the experiment.
- Example 2 DNP preparation of Li-acetoacetate in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Li-acetoacetate (22.4 mg, 0.21 mmol) was added to an Eppendorf tube and mixed with 28 ⁇ of a DMSO preparation (25 mM Radical 3 and 0.8 mM 3- Gd). This preparation was 4 M with respect to Li-acetoacetate. The preparation formed a glass upon rapid freezing in liquid nitrogen.
- Example 2b DNP preparation of diketene in the presence of a Gd- chelate as paramagnetic metal ion and a trityl radical as DNP agent To an Eppendorf tube was added diketene (9.6 mg, 0.11 mmol) and mixed with 4.7 mg of a DMSO preparation of Radical 3 (45 mM) and 3-Gd (1.5 mM).
- This preparation was 8.5 M with respect to diketene.
- the preparation formed a glass upon rapid freezing in liquid nitrogen.
- the concentration of acetoacetic acid is twice as high.
- Example 2c DNP preparation of ethyl acetoacetate in the presence of a trityl radical as DNP agent
- Ethyl acetoacetate (45 ⁇ , 0.34 mmol) was added to an Eppendorf tube and mixed with acid form of Radical 2 (0.7 mg , 0.65 ⁇ ⁇ ) in a total concentration of 15 m M .
- This preparation was 8 M with respect to ethyl acetoacetate.
- This ester formed a glass upon rapid freezing without addition of glass-forming agents.
- Example 2d DNP hyperp o l a r i z a t i o n o f L i-acetoacetate and dissolution in phosphate buffer.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz). The sample was hyperpolarized for 75 min.
- the sample was dissolved in 5 ml phosphate buffer pH 7.3 (40 mM +
- Th e e ntire composition from example 2b was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz).
- the sample was hyperpolarized for 3 hours.
- the sample was dissolved in 5 ml water with added NaOH (125 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 13) where a time series of 64 five degree ID 13C-NMR spectra were recorded with a total delay between the pu lses of 3 s.
- the lactone was quantitatively hyd rolyzed u p to at least 95 %, after 10 s.
- the diketene polarized well and was easily hydrolyzed to acetoacetate during the time of the experi ment. No su bsta ntial deg radation (decarboxylation) of acetoacetate was observed.
- the Tl of the hydrolyzed product, acetoacetate is
- composition from example lc (20.5 mg, 0.16 mmol) was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K i n a 3.35 T mag netic field under i rradiation with microwave (93.915 GHz).
- the sample was hyperpolarized for 2 hours.
- the sample was dissolved in 5 ml water with added NaOH (200 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T mag net (pH 12.8) where a time series of 5 deg ree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was only partly hydrolyzed .
- the ester polarized well and was approximately 20% hyd rolyzed to acetoacetate after 10 s . No su bsta ntia l deg radation (decarboxylation) was measured for the acetoacetate.
- Tl of the CI position in the hydrolyzed product, acetoacetate is 32 s (14.1 T and 37° C).
- Example 2g DNP hyperpolarization of ethyl acetoacetate and dissolution in the presence of esterase for hydrolysis
- composition from example 2c ( 13.2 mg, 0.1 mmol) was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarized under DNP conditions for
- the sample was dissolved in 5 ml 40 mM phosphate buffer pH 7.3 + 100 mg/l EDTA, thus resulting in an ester concentration of 20 m M .
- 1 m l of the ester solution was injected through a transfer line into a 10 mm NMR tube placed at 14.1 T and 37° C.
- the 10 mm NMR tube contained a 500 ⁇ solution of approximately 270 U of a carboxylic-ester hydrolase from porcine liver.
- a time series of 10 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was fully hydrolyzed to acetoacetate after 12 s. No degradation (decarboxylation) was detected for the acetoacetate.
- Example 3 DNP preparation of cis-aconitic acid in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Cis-aconitic acid (18.6 mg, 0.11 mmol) was added to an Eppendorf tube and mixed with a 32.5 ⁇ DMSO preparation (25 mM Radical 3 and 0.8 mM 3-
- Th is preparation was 2.5 M with respect to cis-aconitic acid. The preparation formed a glass upon rapid freezing in liquid nitrogen.
- Example 3b DN P prepa ration of cis-aconitic anhydride in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Cis-aconitic anhydride (188 mg, 1.2 mmol) was added to an Eppendorf tube and mixed with 2.85 mg (2 ⁇ ) of Radical 1 and 0.98 mg of a 83 ⁇ /g solution of 3-Gd. This preparation was 9 M with respect to cis-aconitic anhydride. The melted preparation formed a glass upon rapid freezing without addition of glass-forming agents. In comparison to example 3a it was possible to make a preparation of cis-aconitic anhydride without addition of glassformer agents and the concentration of cis-aconitic acid is more than three times as high.
- Example 3c DNP hyperpo la rizatio n of cis-aconitic acid and dissolution in the presence of base for neutralization.
- Th e e ntire composition from example 2a was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz). The sample was hyperpolarized for 75 min.
- the sample was dissolved in 5 ml phosphate buffer (40 mM, pH 7.3) with added 30 ⁇ 12 M NaOH .
- the pH was 7.2 after dissolution.
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet where a time series of 5 degree I D 13C-NM R spectra were recorded with a total delay between the p u l ses of 3 s .
- the presence of trans isomer of aconitate was detected, in an amount of about 10 %.
- Example 3d DNP hyperpolarization of cis-aconitic anhydride and dissolution in the presence of strong base for hydrolysis
- composition from example 2b was melted on a water-bath and stirred with a magnetic stirrer. 45 mg of this preparation (0.29 mmol) was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser. The composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz). The sample was hyperpolarized for 90 min.
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 12.8) where a time series of 64 five degree I D 13C- NMR spectra were recorded with a total delay between the pulses of 3 s.
- the cis-aconitic anhydride was quantitatively hydroiyzed up to at least 95 %, after 10 s.
- the cis-aconitic anhydride polarized well and was easily hydroiyzed to cis-acon itate d uring the time of the experiment.
- the Tl of the hyd roiyzed product, cis-aconitate is 24 s (14.1 T and 37° C). In contrast to example 3b, the presence of trans-aconitate was neglectable.
- Example 4 DNP preparation of succinic acid in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Example 4b DNP preparation of succinic anhydride in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Example 4c DNP hyperpola rization of succi n ic a n hyd ride a nd dissolution in the presence of strong base for hydrolysis
- Th e e ntire composition from example 4b was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.915 GHz).
- the sample was hyperpolarized for 60 min.
- the sample was dissolved in 5 ml water with added NaOH ( 150 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 12.8) where a time series of 5 degree I D 13C-NMR spectra were recorded with a total delay between the pu lses of 3 s.
- the anhydride was quantitatively hydrolyzed up to at least 95 %, after 10 s.
- the succinic anhydride polarized well and was easily hydrolyzed to succinate during the time of the experiment.
- the Tl of the hydrolyzed product, succinate is 33 s (14.1 T and 37° C).
- Example 4d DN P preparation of succinic-(l)-ethyl ester in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- Succinic-(l)-ethyl ester (111 mg, 0.75 mmol) was added to an Eppendorf tube and mixed with the carboxylic acid form of Radical 2 (2.4 mg, 1.5 ⁇ ) and 3-Gd (3.4 ⁇ of a 14.5 mM solution in water). This preparation was 6 M with respect to succinic-(l)-ethyl ester. This ester formed a glass upon rapid freezing. In comparison to example 4a it is possible to make a preparation of succinic-(l)-ethyl ester in higher concentration and without additive.
- the sample was dissolved in 6 ml water with added NaOH (195 ⁇ of 12 M). The solution was collected directly into a 10 mm NMR tube and transferred to a 14. 1 T mag net (pH 13) where a time series of 5 deg ree I D 13C-NMR spectra were recorded with a total delay between the pulses of 3 s. The ester was hydrolyzed up to at least 95 %, after 20 s.
- Example 5 DNP preparation of L-glutamine in the presence of Sodium hydroxide, a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- L-Glutamine (50.9 mg, 0.35 mmol) was added to an Eppendorf tube and dissolved in 29 ⁇ of 12 M NaOH and mixed with 1.7 mg of radical 1 and 3-Gd (2.3 ⁇ of a 14.5 mM water stock solution). This preparation was 4 M with respect to L-glutamine. The preparation formed a glass upon rapid freezing in liq uid nitrogen . L-G l uta m i ne is a n u nsta b le co m po u nd u nde r the D N P preparation conditions. The amount of degradation was quantified to 14% with 1H NMR on the solubilised described DNP sample.
- Example 5b D N P p re paration of N-acetyl-L-glutamine in the presence of Sodium hydroxide, a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- N-acetyl-L-glutamine (57.2 mg, 0.3 mmol) was added to an Eppendorf tube and dissolved in 25.3 ⁇ of 12 M NaOH and mixed with 1.9 mg of radical 1 and 3-Gd (2.3 ⁇ of a 14.5 mM water stock solution).
- the preparation formed a g lass upon rapid freezing in liq uid n itrogen .
- This preparation compared to example 5a hold a slightly higher concentration 4.5 M with respect to N-acetyl- L-glutamine and N-acetyl glutamine does not degrade in the DNP preparation as measured with 1H NMR on the solubilised described DNP sample.
- Example 5c DNP hyperpolariz a t i o n o f N-acetyl-L-glutamine, dissolution and addition of N-acetylase for hydrolysis
- composition from example 5b was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was hyperpolarized for 60 min.
- the sample was dissolved in 5 ml 40 mM phosphate buffer (40 mM, pH 7.3).
- 500 ⁇ of the hyperpolarized N-acetyl-L-glutamine solution was injected through a transfer line into a 10 mm NMR tube placed at 14.1 T and 37° C.
- the 10 mm NMR tube contained a 1 ml phosphate solution of approximately 90 U of an acylase from porcine kidney.
- a time series of 5 degrees ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- N-acetyl-L-glutamine was fully hydrolyzed after 45 s.
- the degradation of L-glutamine (a tendency of L-glutamine to form an unwanted cyclic form, pyroglutamate), is heat and acid induced and is accentuated in the dissolution process (high temperature and addition of acid to neutralize the basic preparation) .
- N-acetyl-L-g l uta m i ne d oes n ot d eg ra d e i n th e d issolution process.
- Example 6 DNP preparation of 2-13C-d2-glycine in the presence of Sodium hydroxide, a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- 2-13C-d2-Glycine ( 19.3 mg, 0.25 mmol) was added to an Eppendorf tube and dissolved in 16 ⁇ of 12 M NaOH and mixed with 4 mg of a NaOH solution of radical 1 (100 ⁇ / g) and Gadoteridol (10 ⁇ / g) This preparation is 7 M with respect to glycine. The preparation forms a glass upon rapid freezing in liquid nitrogen.
- Example 6b DN P preparation of 2-13C-d2-N-acetyl glycine in the presence of Sodium hydroxide, a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- 2-13C-d2-N-acetyl g lycine (30.7 mg, 0.255 m mo l) was added to a n Eppendorf tube and dissolved in 22 ⁇ of a 12 M NaOH solution (73 ⁇ , 100 mg) of radical 1 (3.4 mg, 2.4 ⁇ ) and Gadoteridol (2.5 mg of 100 ⁇ /g solution).
- the preparation formed a glass upon rapid freezing in liquid nitrogen.
- Example 6c DNP hyperpolarization o f 2-13C-d2-glycine and dissolution in the presence of strong acid for neutralization.
- composition from example 6a was hyperpolarized with DNP conditions for 60 min at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was dissolved in 5 ml phosphate buffer (100 mM, pH 7) with added one equivalent HCI.
- the pH is 7.1 after dissolution.
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet where a time series of 3 deg ree I D 13C-NM R spectra were recorded with a total delay between the pulses of 3 s.
- the solid state signal was 280 (area in arbitrary units divided by mmol 13C) and the liquid state polarization was 12.5% with a high field liquid state
- Example 6d DNP hyperpolarization of 2-13C-d2-N-acetyl glycine and dissolution
- composition from example 6b was hyperpolarized with DNP conditions for 60 min at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was dissolved in 5 ml phosphate buffer (40 mM, pH 7.3). The pH is 7.2 after dissolution.
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet where a time series of 3 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the solid state signal was 376 (area in arbitrary units divided by mmol 13C) and the liquid state polarization was 21% with a high field liquid state Tl of 40 s.
- Example 6e DNP hyperpolariz a t i o n o f N-acetyl glycine and dissolution following which the presence of N-acetylase for hydrolysis
- N-acetyl glycine 117.1 g/mol, 0.298 mmol
- Heating, sonication and vortexing was applied to create a clear glassing solution.
- the total weight of the sample was 71 mg (50 ⁇ weigh 65 mg).
- 1.05 mg Radical 1 and 1.5 ⁇ of a 3-Gd stock solution (14.5 mmol/g) was added.
- the total N-acetyl glycine concentration in the sample was 5.5 M, the radical concentration was 13.5 mM, and the 3-Gd concentration was 0.4 mM.
- composition 35.8 mg was transferred from the Eppendorf tube to a sa m ple cu p a nd the sa m ple cu p was i nserted i nto a DN P polariser.
- the composition was hyperpolarized under DNP conditions for 60 min at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was dissolved in 7 ml 40 mM phosphate buffer (40 mM, pH
- the N-acetyl glycine was fully hydrolyzed after 30 s.
- Example 7 DNP preparation of 2-oxoglutarate disodium salt in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- 2-oxoglutarate sodium salt ( 137 mg, 0.61 mmol) was dissolved in 100 ⁇ heated water. 2.06 mg Radical 1 was weighed into an Eppendorf tube and 111 ⁇ of the 2-oxoglutarate/ water solution was added resulting in a total sample amount of 143 mg). To this sample 2.7 mg of a 14.5 ⁇ /g stock solution of 3-Gd was added . The prepa ration was gently heated and whirl-mixed to dissolution. This preparation was 3.4 M with respect to 2-oxoglutarate. The preparation formed a glass upon rapid freezing in liquid nitrogen.
- Example 7b DN P preparation of 2-oxoglutaric-(l)- ethyl ester in the presence of a Gd-chelate as paramagnetic metal ion and a trityl radical as DNP agent
- 2-oxoglutaric-(l)-ethyl ester ( 3 1 mg , 0. 18 m m o l ) was ad d ed to a n Eppendorf tube and mixed with 0.7 mg (0. 45 ⁇ ) of radical 3. This preparation was 6.5 M with respect to 2-oxoglutarate. This ethyl ester formed a glass upon rapid freezing. In comparison to example 7a it is possible to make a preparation of 2-oxoglutaric-(l)-ethyl ester in higher concentration.
- composition from example 7b was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was hyperpolarized for 90 min.
- Example 8b DN P pre pa ration of malic-(l)-ethyl ester in the presence of a trityl radical as DNP agent
- Malic-(l)-ethyl ester ( 108 mg, 0.66 mmol) was added to an Eppendorf tube and mixed with 1.7 mg (1.1 ⁇ ) of radical 3. This preparation was 7.4 M with respect to malate. This ethyl ester formed a glass upon rapid freezing. In comparison to example 8a it is possible to make a preparation of malic-(l)- ethyl ester in higher concentration and without additive.
- Example 8c DNP hyperpolarization of malic-(l)-ethyl ester and dissolution in the presence of strong base for hydrolysis
- composition from example 8b 39.9 mg was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was hyperpolarized for 80 min.
- the sample was dissolved in 6 ml water with added NaOH (92 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 12.9) where a time series of 5 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was hydrolyzed up to at least 95 %, after 20 s.
- the malic-(l)-ethyl ester was easily hydrolyzed to malate during the time of the experiment.
- Example 9 DNP preparation of L-phenylalanine in the presence of a trityl radical as DNP agent
- This preparation was 3.5 M with respect to L-phenylalanine.
- the preparation formed a glass upon rapid freezing in liquid nitrogen.
- Example 9b DNP preparation of ethyl phenylalanine in the presence of a trityl radical as DNP agent
- Ethyl phenylalanine (49 mg, 0.25 mmol) was added to an Eppendorf tube and mixed with 1.2 mg (0. 78 ⁇ ) of radical 3. This preparation was 5.5 M with respect to phenylalanine. This ethyl ester formed a g lass upon rapid freezing. In comparison to example 9a it is possible to make a preparation of ethyl phenylalanine in higher concentration.
- Example 9c DNP hyperpolarization of ethyl phenylalanine and dissolution in the presence of strong base for hydrolysis
- composition from example 9b 49 m g was transferred from the Eppendorf tube to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz).
- the sample was hyperpolarized for 60 min.
- the sample was dissolved in 7 ml water with added NaOH (83 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 12.2) where a time series of 5 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was hydrolyzed up to at least 95 %, after 15 s.
- the ethyl phenylalanine was easily hydrolyzed to phenylalanine during the time of the experiment.
- Example 10 DNP hyperpolarization of l-13C-pyroglutamate in the presence of a trityl radical as DNP agent
- Example 10b DNP polarization of l-13C-pyroglutamic ethyl ester in the presence of a trityl radical as DNP agent
- the solid-state pola rization was 350 (a rea i n arbitrary u n its d ivided by m mol 13C).
- the ethyl pyroglutamate polarizes more than 4.5 times as well as the pyroglutamate with the same polarization build-up time constant and with a lower radical concentration in the sample.
- Example 10c Dissolution of D N P h ype rpo l a ri zed ethyl pyroglutamate in the presence of strong base for hydrolysis
- composition from example 10b 36.8 mg was transferred to a sample cup and the sample cup was inserted into a DNP polariser.
- the composition was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field u n d e r i rradiation with microwave (93.900 GHz).
- the sample was hyperpolarized for 60 min.
- the sample was dissolved in 5 ml water with added NaOH (95 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 11) where a time series of 5 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was hydrolyzed up to at least 95 %, in less than 10 s.
- the ethylpyroglutamate was easily hydrolyzed to pyroglutamate during the time of the experiment.
- Example 11 DNP polarization of l-13C-L-oxothiazolidine-4- carboxylic acid (OTZ) in the presence of a trityl radical as DNP agent
- OTZ (36 mg, 0.24 mmol) was mixed with 21 ⁇ 12 M NaOH . To this solution 0.77 mg (0.54 ⁇ ) radical 1 was added. This preparation was 4 M with respect to OTZ. The preparation formed a glass upon rapid freezing in liquid nitrogen. This entire sample was polarized under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave (93.900 GHz) until the polarization was fully built-up. The polarization was monitored in solid state with small pulse angles (5 degree) collected every 300 s. The polarization build-up time constant was calculated to be 3500 s. and the solid-state signal was 305 (area in arbitrary units divided by mmol 13C).
- the polarization was monitored in solid state with small pulse angles (5 deg ree) collected every 300 s.
- the polarization build-up time constant was calculated to be 1925 s. and the solid-state signal was 380 (area in arbitrary units divided by mmol 13C).
- Example 11c Dissolution of DNP hyperpolarized ethyl OTZ in the presence of strong base for hydrolysis
- Ethyl OTZ (78.4 mg, 0.448 mmol) was mixed with 1.49 mg (0.97 ⁇ ) radical 3 was transferred to a sample cup and the sample cup was inserted i nto a D N P po la riser.
- the co m positio n was hyperpolarised under DNP conditions at 1.2 K in a 3.35 T magnetic field under irradiation with microwave
- the sample was hyperpolarized for 60 min.
- the sample was dissolved in 5 ml water with added NaOH (73 ⁇ of 12 M).
- the solution was collected directly into a 10 mm NMR tube and transferred to a 14.1 T magnet (pH 12.6) where a time series of 5 degree ID 13C-NMR spectra were recorded with a total delay between the pulses of 3 s.
- the ester was hydrolyzed up to at least 95 %, in less than 10 s.
- the ethyl OTZ was easily hydrolyzed to OTZ during the time of the experiment.
- Example 12a DNP hyperpolarization of l-13C-Itaconic acid in the presence of a trityl radical as DNP agent
- Example 12b DNP hyperpolarization of l-13C-Itaconate diethyl ester in the presence of a trityl radical as DNP agent
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| EP11712872.8A EP2555803B1 (en) | 2010-04-08 | 2011-04-08 | Process for preparing hyperpolarized substrates and method for mri |
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| EP11712872.8A EP2555803B1 (en) | 2010-04-08 | 2011-04-08 | Process for preparing hyperpolarized substrates and method for mri |
| PCT/EP2011/055485 WO2011124672A1 (en) | 2010-04-08 | 2011-04-08 | Process for preparing hyperpolarized substrates and method for mri |
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| US (1) | US9694090B2 (en) |
| EP (1) | EP2555803B1 (en) |
| JP (1) | JP5758982B2 (en) |
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| EP2348327B1 (en) * | 2010-01-18 | 2013-11-27 | Bruker BioSpin AG | Method for NMR measurements using dissolution dynamic nuclear polarization (DNP) with elimination of free radicals |
| WO2013053839A1 (en) * | 2011-10-12 | 2013-04-18 | Bracco Imaging Spa | Process for the preparation of hyperpolarized derivatives for use in mri analysis |
| US9693828B2 (en) | 2011-12-05 | 2017-07-04 | Bracco Imaging S.P.A. | Composition comprising acetic anhydride and a gadolinium complex, and method for the use in hyperpolarisation in MRI analysis |
| US9381257B2 (en) | 2012-07-13 | 2016-07-05 | Bracco Imaging S.P.A. | Triarylmethyl radicals |
| WO2014064194A1 (en) | 2012-10-25 | 2014-05-01 | Bracco Imaging Spa | Hyperpolarized 2-oxoglutarate as metabolic agent in mr |
| US10265421B2 (en) * | 2013-01-31 | 2019-04-23 | Bracco Imaging S.P.A. | Hyperpolarized esters as metabolic markers in MR |
| EP3016687B1 (en) | 2013-07-01 | 2017-08-09 | Bracco Imaging S.p.A | Hyperpolarized 1-13c-1,1-bis(acetoxy(methyl))-2,2'-cyclopropane as metabolic marker for mr |
| US9642924B2 (en) | 2013-08-29 | 2017-05-09 | Duke University | Contrast agents based on long-lived nuclear singlet states and related methods |
| EP3101012A1 (en) | 2015-06-04 | 2016-12-07 | Bayer Pharma Aktiengesellschaft | New gadolinium chelate compounds for use in magnetic resonance imaging |
| WO2017147418A1 (en) | 2016-02-24 | 2017-08-31 | Ohio State Innovation Foundation | Methods and devices for contrast agent magnetic resonance imaging |
| EP3544639A4 (en) * | 2016-10-28 | 2020-07-08 | Agency for Science, Technology and Research | HYPERPOLARIZED [3-13C] ACETOACETATE AND METHOD FOR USE THEREOF |
| ES2814555T3 (en) | 2016-11-28 | 2021-03-29 | Bayer Pharma AG | Gadolinium chelate compounds with high relaxivity for use in magnetic resonance imaging |
| WO2019159154A1 (en) * | 2018-02-19 | 2019-08-22 | Bruker France Sas | Nuclear spin hyperpolarization in a porous matrix |
| KR102934987B1 (en) | 2018-11-23 | 2026-03-09 | 바이엘 악티엔게젤샤프트 | Formulation of contrast medium and method for producing same |
| WO2020251928A1 (en) | 2019-06-12 | 2020-12-17 | Corn Products Development, Inc. | Compositions with sugar like characteristics |
| EP4090648A4 (en) * | 2020-01-17 | 2024-06-12 | The Government of The United States of America as represented by The Secretary, Department of Health and Human Services | ALPHA-KETOGLUTARATE ISOTOPES AND ASSOCIATED COMPOUNDS AND THEIR USE IN HYPERPOLARIZED IMAGING |
| WO2025062996A1 (en) * | 2023-09-22 | 2025-03-27 | 国立大学法人九州大学 | Chemically-induced dynamic nuclear polarization probe, compound, and method for evaluating chemical induction function |
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| ES2058714T3 (en) | 1987-06-23 | 1994-11-01 | Nycomed Innovation Ab | IMPROVEMENTS INTRODUCED IN IMAGE FORMATION BY MAGNETIC RESONANCE. |
| GB8817137D0 (en) | 1988-07-19 | 1988-08-24 | Nycomed As | Compositions |
| JP3175940B2 (en) | 1990-02-12 | 2001-06-11 | ニコムド イノベーション アーベー | Use of triarylmethyl radicals and inert carbon free radicals in magnetic resonance imaging |
| AU668691B2 (en) | 1991-08-09 | 1996-05-16 | Nycomed Innovation Ab | Use of persistent free-radicals in magnetic resonance imaging |
| US5728370A (en) | 1993-04-02 | 1998-03-17 | Nycomed Imaging As | Free Radicals |
| CN1269015A (en) | 1997-06-19 | 2000-10-04 | 耐克麦德英梅金公司 | Overhauser magnetic resonance imaging (ORMI) method comprising ex vivo polarization of a magnetic resonance (MR) imaging agent |
| KR100600670B1 (en) * | 1997-11-12 | 2006-07-13 | 지이 헬스케어 에이에스 | Parahydrogen labeled agonists and their use in magnetic resonance imaging |
| US6278893B1 (en) | 1998-01-05 | 2001-08-21 | Nycomed Imaging As | Method of magnetic resonance imaging of a sample with ex vivo polarization of an MR imaging agent |
| US20020004072A1 (en) | 1999-05-06 | 2002-01-10 | Peter G. Thomas | "composition providing a sustained release of l-histidine and methods of manufacture thereof" |
| GB0014463D0 (en) | 2000-06-14 | 2000-08-09 | Nycomed Amersham Plc | NMR Method |
| JP4061192B2 (en) | 2000-11-03 | 2008-03-12 | ジーイー・ヘルスケア・アクスイェ・セルスカプ | Devices and methods for polarized NMR samples |
| US7732410B2 (en) | 2003-03-28 | 2010-06-08 | Higuchi Maria De Lourdes | Compositions for inhibiting atherosclerosis |
| NO20035626D0 (en) | 2003-12-17 | 2003-12-17 | Amersham Health As | Method |
| NZ552898A (en) | 2004-07-30 | 2011-02-25 | Ge Healthcare As | Method of producing a composition, composition and its use |
| WO2007044867A2 (en) | 2005-10-11 | 2007-04-19 | Huntington Medical Research Institutes | Imaging agents and methods of use thereof |
| US20080287774A1 (en) | 2005-11-06 | 2008-11-20 | Rachel Katz-Brull | Magnetic Resonance Imaging and Spectroscopy Means and Methods Thereof |
| JP5475995B2 (en) | 2005-12-01 | 2014-04-16 | ジーイー・ヘルスケア・アクスイェ・セルスカプ | Dynamic nuclear polarization (DNP) method |
| PL1962912T3 (en) | 2005-12-16 | 2013-03-29 | Ge Healthcare As | Method to produce hyperpolarised carboxylates of organic amines |
| EP1986702A4 (en) * | 2006-02-21 | 2012-12-12 | Avrum Belzer | METHODS, SYSTEMS AND COMPOSITIONS FOR HYPERPORALIZATION |
| KR20140144312A (en) | 2006-08-30 | 2014-12-18 | 지이 헬스케어 에이에스 | Method of dynamic nuclear polarisation (DNP) and compounds and compositions for use in the method |
| US8763410B2 (en) * | 2008-04-21 | 2014-07-01 | General Electric Company | Method and apparatus for the dissolution and filtration of a hyperpolarized agent with a neutral dissolution media |
| US9289518B2 (en) | 2008-08-22 | 2016-03-22 | The Brigham And Women's Hospital | Enhanced 13C NMR by thermal mixing with hyperpolarized 129XE |
| US8961933B2 (en) | 2008-10-03 | 2015-02-24 | Bracco Imaging S.P.A. | Process for the preparation of aqueous solutions of hyperpolarized molecules |
| US9693828B2 (en) | 2011-12-05 | 2017-07-04 | Bracco Imaging S.P.A. | Composition comprising acetic anhydride and a gadolinium complex, and method for the use in hyperpolarisation in MRI analysis |
-
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- 2011-04-08 US US13/639,682 patent/US9694090B2/en not_active Expired - Fee Related
- 2011-04-08 WO PCT/EP2011/055485 patent/WO2011124672A1/en not_active Ceased
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| Publication number | Publication date |
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| CN102892434A (en) | 2013-01-23 |
| US9694090B2 (en) | 2017-07-04 |
| WO2011124672A1 (en) | 2011-10-13 |
| CN102892434B (en) | 2014-11-19 |
| JP2013523298A (en) | 2013-06-17 |
| JP5758982B2 (en) | 2015-08-05 |
| US20130096420A1 (en) | 2013-04-18 |
| EP2555803B1 (en) | 2018-09-12 |
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